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Individual

DR. MISTY HAUNANI TRYBOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2300 LANCASTER DR NE, SALEM, OR 97305-1223
(503) 370-4313
Mailing address
11907 SW LAUSANNE ST, WILSONVILLE, OR 97070-7328
(503) 482-5071

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8617
OR

Other

Enumeration date
08/14/2006
Last updated
10/21/2011
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